ความชุกของภาวะเพ้อและปัจจัยที่มีความสัมพันธ์กับการเกิดภาวะเพ้อในผู้ป่วยผู้ใหญ่ที่ได้รับการผ่าตัดหัวใจแบบเปิด / อรุณี วรรณเสน = Prevalence of delirium and factors related to delirium in adult patients undergoing open heart surgery
The research data collected from 99 samples of adult patients undergoing open heart surgery from December 2009- February 2010 The research methods include data collection using questionnaire consist of 3 part, such as: demographi questionnaires, TMSE ( Thai Mental State Examination ),TDRS ( Thai Delirium Rating Scales 6 ITEM ). The data were statistically analyzed by Chi-Square test, t-test, one – way ANOVA, and Multiple Linear Regression Analysis.
The findings revealed that the majority of adult patients undergoing open heart surgery were male (63.6%). The average of age was 63 years (S.D. = 1.25). Most of samples (38.4%) had primary level education. Most of the samples were employees (35.4%). Over half of samples had co- morbidity (76.8%). Hypertension and diabetes was the most common co-morbidity disease (38.4%). Over half of samples were in the functional classes II (74.7%).The common types of heart disease were coronary artery disease (53.5%). The major types of operation were coronary artery bypass graft (60.6%). Most samples had operation time during 4-5 hours (S.D. = 1.08) .The occurrence rate of delirium was 24.2 %. The factors related to delirium in adult patients undergoing open heart surgery were age, co-morbidity, history of cigarette smoking, operation time, intubation time, ICU length of stay and hospital length of stay.
